Chronic kidney disease and transcatheter aortic valve implantation

Pre-Existing Left Bundle Branch Block and Clinical Outcomes After Transcatheter Aortic Valve Replacement

“…In multivariable analysis, variables associated with mortality, based on previous studies, were included. 16 , 17 , 18 , 19 , 20 , 21 , 22 The variables included in the multivariate analysis of mortality were following: age, sex, body surface area, NYHA functional class III or IV, hypertension, dyslipidemia, diabetes mellitus, chronic kidney disease, previous stroke, chronic obstructive pulmonary disease, peripheral artery disease, liver disease, coronary artery disease, previous coronary artery bypass grafting, atrial fibrillation, permanent pacemaker, clinical frailty score, nontransfemoral approach, local anesthesia, hemoglobin, albumin <3.5 g/dL, B-type natriuretic peptide (BNP) ≥400 pg/mL or N-terminal pro-BNP ≥1,600 pg/mL, left ventricular ejection fraction (LVEF) ≤40%, mitral regurgitation (MR) ≥moderate, tricuspid regurgitation ≥moderate, stroke, myocardial infarction, vascular complications, acute kidney injury, bleeding, new pacemaker implantation, and PVL ≥moderate.…”

Clinical Outcomes of Urgent or Emergency Transcatheter Aortic Valve Implantation ― Insights From the Nationwide Registry of Japan Transcatheter Valve Therapies ―

“…23 In the present study, AKI and dialysis were more common after urgent/emergency TAVI, which may impair both early and late survival. [24][25][26] Patients who underwent urgent/emergency TAVI had a higher baseline creatinine concentration and may undergo computed tomography angiography and cardiac catheterization in a short period before the procedure. 6 Low contrast medium volume in pre-TAVI computed tomography examinations and a zero-contrast TAVI procedure may be considered to avoid AKI after urgent/emergency TAVI.…”